Shoreline Podiatry, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

SHORELINE PODIATRY, LLC

Practice address

24 Salt Pond Rd
Unit E-1
Wakefield, RI 02879-4314

Phone

(401) 783-2424

Fax

(401) 789-2095

NPI assigned

Jun 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James I McCormick, DPMNPI 1972566644

Title

President

Phone

(401) 783-2424

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James McCormick, DPM

  • Foot Surgery Podiatrist
  • Wakefield, RI
  • NPI 1972566644
  NPD (past) Authorized official
• Eric Jason Buchbaum, DPM

  • Foot Surgery Podiatrist
  • Wakefield, RI
  • NPI 1952365652
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740216035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD",
            "address_2": "UNIT E-1",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794314",
            "telephone_number": "401-783-2424",
            "fax_number": "401-789-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD",
            "address_2": "UNIT E-1",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794314",
            "telephone_number": "401-783-2424",
            "fax_number": "401-789-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE PODIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-783-2424",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaws Supermarkets Inc (Osco Pharmacy)
• Christine Deborah Shirley, B.A.
• Shoeline Surgical Associates, Inc.
• Shore Thing Therapy, LLC
• Shoreline Podiatry, Inc
• Peter C Shorter, M.D.
• Amanda Sieck, DPT
• Signature Dental LLC (Signature Dental)
• Silver Spring Health Care Management, Inc (SCMG Behavioral Health & Community Health Team)
• Silver Spring Health Care Management, Inc (SCMG Breast Health Clinic)

• Foot & Ankle Surgery Podiatrist in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Foot & Ankle Surgery Podiatrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.